Attachment 16_Volume I Cover Sheet_3rd Draft RFP.pdf
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Volume I Cover Sheet Attachment 16 Form (PI-16)
Required Information RFP Reference
1. Offeror’s Name: 52.212-1 Addendum, Para. 3.1(a)
2. Offeror Type (Select One ): 52.212-1 Addendum, Para. 3.1(a)
3. Address: 52.212-1 Addendum, Para. 3.1(a)
4. CAGE Code: 52.212-1 Addendum, Para. 3.1(a)
5. SAM.gov Unique Entity ID (UEI): 52.212-1 Addendum, Para. 3.1(a)
6. Point of Contact (POC): 52.212-1 Addendum, Para. 3.1(a)
7. Phone Number (Including Area Code) : 52.212-1 Addendum, Para. 3.1(a)
8. Email Address: 52.212-1 Addendum, Para. 3.1(a)
9. Total Number of Projects: 52.212-1 Addendum, Para. 3.1(b)
10. Total Number of Points: 52.212-1 Addendum, Para. 3.1(c)
11. Solicitation Number: 52.212-1 Addendum, Para. 3.1(d)
12. Date of Submission: 52.212-1 Addendum, Para. 3.1(e)
13. Functional Category (FC) (Select One) : 52.212-1 Addendum, Para. 3.1(f)
14. Small Business Socioeconomic Track(s) for aforementioned FC (Choose all applicable) :
52.212-1 Addendum, Para. 3.1(g)
15. Clearance Level (Select One) : 52.212-1 Addendum, Para. 3.1(h)
16. Adequate Accounting System (Select One) : 52.212-1 Addendum, Para. 3.1(i)
17. Proposal Validity Date (Select One) : 52.212-1 Addendum, Para. 3.1(j)
18. Terms of any express warranty: 52.212-1 Addendum, Para. 3.1(k)
19. Prompt Payment Terms: 52.212-1 Addendum, Para. 3.1(l)
20. Name of person authorized to sign the proposal: 52.212-1 Addendum, Para. 3.1(m)
21. Title of person authorized to sign the proposal: 52.212-1 Addendum, Para. 3.1(m)
Offeror Responses
SDVOSB WOSB HUBZone 8(a)
DRAFT
| Offerors Name: |
| Address: |
| CAGE Code: |
| Entity ID UEI: |
| Point of Contact: |
| Phone Number: |
| Email Address: |
| Total Number of Projects: |
| Total Number of Points: |
| Solicitation Number: |
| Date of Submission: |
| Terms of any express warranty: |
| Prompt Payment Terms: |
| Name of person authorized to sign the proposal: |
| Title of person authorized to sign the proposal: |
| Offeror Type: [ ] |
| Functional Category: [ ] |
| SDVOSB?: Off |
| WOSB?: Off |
| HUBZone?: Off |
| 8(a)?: Off |
| Clearance Level: [ ] |
| Adequate Accounting System: [ ] |
| Proposal Validity Date: [ ] |
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